Provider Demographics
NPI:1073903027
Name:FEDER, INGRID (DVM, PHD)
Entity Type:Individual
Prefix:DR
First Name:INGRID
Middle Name:
Last Name:FEDER
Suffix:
Gender:F
Credentials:DVM, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 SUNSHINE POINT DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-1678
Mailing Address - Country:US
Mailing Address - Phone:281-723-2228
Mailing Address - Fax:
Practice Address - Street 1:3022 NORTHPARK DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-5114
Practice Address - Country:US
Practice Address - Phone:281-360-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-29
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11643174M00000X
CA10782174M00000X
AK718174M00000X
IA8018174M00000X
WI6139174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian